Individual provider · Type 1 NPI

Sanka Divic, RDH

Dental Hygienist · Grand Rapids, MI

NPI number 1679946263 Active

Practice location

2055 Rosewood Ave SE
Grand Rapids, MI 49506-5248

Mailing address

2453 Bluff Meadows Dr SE
Grand Rapids, MI 49546-7910

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902014498 (MI)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1679946263

Sanka Divic, RDH's National Provider Identifier is 1679946263, issued on Nov 5, 2015. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 5, 2015.